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Arcuate Uterus
Akram M. Shaaban, MBBCh
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Class VI müllerian duct anomaly (MDA) based on classification of American Society for Reproductive Medicine (ASRM)
              • ASRM classification and guidelines describe arcuate uterus as having perpendicular depth from interstitial line connecting cornua in range of 4-10 mm, with myometrial angle of > 90°

            IMAGING

            • General Features

              • Hysterosalpingography

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Donnez J: Arcuate uterus: a legitimate pathological entity? Fertil Steril. 109(4):610, 2018
                                        2. Practice Committee of the American Society for Reproductive Medicine et al: Uterine septum: a guideline. Fertil Steril. 106(3):530-40, 2016
                                        3. Behr SC et al: Imaging of müllerian duct anomalies. Radiographics. 32(6):E233-50, 2012
                                        4. Marcal L et al: Mullerian duct anomalies: MR imaging. Abdom Imaging. 36(6):756-64, 2011
                                        5. Bermejo C et al: Three-dimensional ultrasound in the diagnosis of müllerian duct anomalies and concordance with magnetic resonance imaging. Ultrasound Obstet Gynecol. 35(5):593-601, 2010
                                        6. Mucowski SJ et al: The arcuate uterine anomaly: a critical appraisal of its diagnostic and clinical relevance. Obstet Gynecol Surv. 65(7):449-54, 2010
                                        7. Chandler TM et al: Mullerian duct anomalies: from diagnosis to intervention. Br J Radiol. 82(984):1034-42, 2009
                                        8. Mueller GC et al: Müllerian duct anomalies: comparison of MRI diagnosis and clinical diagnosis. AJR Am J Roentgenol. 189(6):1294-302, 2007
                                        9. Troiano RN et al: Mullerian duct anomalies: imaging and clinical issues. Radiology, 2004
                                        10. Scarsbrook AF et al: MRI appearances of mullerian duct abnormalities. Clin Radiol, 2003
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Class VI müllerian duct anomaly (MDA) based on classification of American Society for Reproductive Medicine (ASRM)
                                                    • ASRM classification and guidelines describe arcuate uterus as having perpendicular depth from interstitial line connecting cornua in range of 4-10 mm, with myometrial angle of > 90°

                                                  IMAGING

                                                  • General Features

                                                    • Hysterosalpingography

                                                      • CT Findings

                                                        • MR Findings

                                                          • Ultrasonographic Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Staging, Grading, & Classification

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Donnez J: Arcuate uterus: a legitimate pathological entity? Fertil Steril. 109(4):610, 2018
                                                                              2. Practice Committee of the American Society for Reproductive Medicine et al: Uterine septum: a guideline. Fertil Steril. 106(3):530-40, 2016
                                                                              3. Behr SC et al: Imaging of müllerian duct anomalies. Radiographics. 32(6):E233-50, 2012
                                                                              4. Marcal L et al: Mullerian duct anomalies: MR imaging. Abdom Imaging. 36(6):756-64, 2011
                                                                              5. Bermejo C et al: Three-dimensional ultrasound in the diagnosis of müllerian duct anomalies and concordance with magnetic resonance imaging. Ultrasound Obstet Gynecol. 35(5):593-601, 2010
                                                                              6. Mucowski SJ et al: The arcuate uterine anomaly: a critical appraisal of its diagnostic and clinical relevance. Obstet Gynecol Surv. 65(7):449-54, 2010
                                                                              7. Chandler TM et al: Mullerian duct anomalies: from diagnosis to intervention. Br J Radiol. 82(984):1034-42, 2009
                                                                              8. Mueller GC et al: Müllerian duct anomalies: comparison of MRI diagnosis and clinical diagnosis. AJR Am J Roentgenol. 189(6):1294-302, 2007
                                                                              9. Troiano RN et al: Mullerian duct anomalies: imaging and clinical issues. Radiology, 2004
                                                                              10. Scarsbrook AF et al: MRI appearances of mullerian duct abnormalities. Clin Radiol, 2003